Chronic Disease Management Specialist in Oakland Park, FL, and Royal Palm Beach, FL

At 121 Medical Center & Royal Palm Beach Medical Group, we understand that the management of chronic diseases is a complex, multifaceted, and patient-centered task. We are committed to supporting our patients as they navigate the challenges of living with persistent, long-term illnesses such as heart disease, diabetes, chronic respiratory diseases, arthritis, cancer, and chronic kidney disease.

Our approach to chronic disease management:

● Patient Education and Empowerment: We believe in the power of knowledge. We inform those we treat about their ailments, possible side effects, available therapies, things that can exacerbate their symptoms, as well as how to keep an eye on their health.

● Regular Monitoring and Assessment: Our healthcare team maintains regular and consistent follow-ups with the patients for ongoing observation of the patient’s condition, adjustment of treatments as necessary, and early detection of potential complications.

● Lifestyle Modifications: We provide guidance and support for lifestyle adjustments in diet, exercise, and stress management. Such modifications can improve the patient’s overall health and well-being, reducing the risk of complications and slowing the disease’s progression.

● Psychosocial Support and Counseling: Our team recognizes the emotional and psychological impact of chronic diseases. We provide psychosocial support, counseling, and support groups to help patients cope with the challenges of living with a chronic condition and maintain a positive outlook.

● Coordinated Care: Our coordinated and integrated approach ensures that all aspects of the patient’s care are addressed seamlessly, optimizing health outcomes.

We continuously strive to incorporate personalized medicine, precision health, telehealth, remote monitoring, artificial intelligence, and community-based programs into our practice.

● Understand Your Condition: We believe that knowledge is power. Our healthcare professionals are here to provide you with a comprehensive understanding of your disease, its causes, symptoms, complications, and treatments. We also guide you toward reliable online resources for further information.

● Adhere to Your Treatment Plan: Our medical team works closely with you to develop and monitor a personalized treatment plan that suits your needs. We provide ongoing support to help you adhere to your treatment plan and manage any side effects you may experience.

● Adopt a Balanced Lifestyle: We emphasize the importance of a balanced lifestyle. Our dieticians and physical therapists can guide you on adopting a healthy diet and regular physical activity that is appropriate for your condition.

● Monitor Your Symptoms: Our team will equip you with the necessary tools and knowledge to monitor your symptoms effectively.

● Seek Emotional Support: We understand that chronic illness can impact your mental health, hence we offer mental health services and emotional support. We can connect you with local support groups and help you learn stress management techniques.

● Collaborate with Your Healthcare Team: We promote a collaborative approach to chronic disease management. We encourage open communication between you and your healthcare team to ensure that your concerns and observations are addressed timely and effectively.

● Advocate for Your Health: We provide you with information on the latest treatments and research breakthroughs relevant to your condition so that you become an active advocate for your health.

● Set Realistic Goals: Our team will help you set realistic and achievable health goals.

● Empower Yourself with Technology: We incorporate technology into our healthcare services. We recommend suitable health apps and wearable devices that can help you effectively monitor your symptoms and track your progress.

We also understand the emotional and psychological toll these diseases can have. Constant pain, discomfort, uncertainty, and the stress of managing the disease can lead to mental health issues like depression or anxiety. We see how this can disrupt your social life and cause feelings of isolation.

The frequent need for medical care, from regular doctor visits and routine tests to daily medication, can be burdensome. We know that the financial strain this can place on you and your family can be significant, especially if you’re unable to work or don’t have sufficient health insurance.

We strive to remove barriers to access. We aim to provide the necessary treatments and support systems for all our patients, regardless of geographical constraints, insurance status, or cultural factors.

We also recognize the complexity of managing multiple medications, particularly for those with more than one chronic condition.

We believe in a holistic approach that includes medical care, emotional support, social services, and community resources. We work collaboratively with our patients, their families, and other healthcare professionals to empower individuals with chronic diseases and improve their quality of life.

● Patient Eligibility At 121 Medical Center & Royal Palm Beach Medical Group, we adhere to CMS guidelines for patient eligibility. Patients must have at least two of the 20 CMS-defined chronic conditions such as asthma, cancer, cardiovascular disease, chronic kidney disease, etc., expected to last at least twelve months or until the patient’s death. The patient should be at a high risk of decompensation, acute exacerbation, mortality, or functional decline due to these disorders.

● Our Approach to Assessment and Care: Upon enrolling in our CCM program, patients receive a comprehensive initial assessment within 30 days. Our team works together to create a tailored care plan, involving systematic assessment of health needs, management of care transitions, coordination and sharing of patient information, and support for both the patient and caregivers.

● Patient Consent and Documentation: We ensure that patients give their consent to receive CCM services and this consent is documented in their medical records. We also maintain detailed documentation of all CCM services provided, progress notes summarizing patient encounters, and updates to the care plan as needed.

● Our Use of Electronic Health Records: We utilize certified Electronic Health Record (EHR) technology to record and share patient information. Our EHR includes demographics, a problem list, a medication list, and a medication allergy list for each patient.

Effective chronic disease management is essential for enhancing your well-being and quality of life. By partnering with our dedicated team, you’ll receive the support and resources needed to navigate your health journey. Together, we can work towards better health outcomes and a brighter future. For more information, contact us or request an appointment online. We serve patients from Oakland Park FL, North Lauderdale FL, Pompano Beach FL, Plantation FL, Royal Palm Beach FL, Wellington FL, Westlake FL, Golden Lakes FL, and surrounding areas.